Provider Demographics
NPI:1629556097
Name:KNAPP, STEVEN MICHAEL (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:KNAPP
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 OLD HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:HAMPTON COVE
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9241
Mailing Address - Country:US
Mailing Address - Phone:256-532-8900
Mailing Address - Fax:256-808-3965
Practice Address - Street 1:131 OLD HIGHWAY 431 STE B&C
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9241
Practice Address - Country:US
Practice Address - Phone:256-532-8900
Practice Address - Fax:256-808-3965
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018025790122300000X
FL266361223X0400X
ALD.7000-C11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist